Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.84 / $103.89 / $167.48	Facility		$87.84	$103.89	$167.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.89 / $131.74 / $179.90	Professional		$103.89	$131.74	$179.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $154.63 / $161.82	Facility		$154.63	$154.63	$161.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $192.56 / $375.08	Professional		$103.20	$192.56	$375.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $203.42 / $235.30 / $263.18	Professional		$203.42	$235.30	$263.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.63 / $376.22 / $390.62	Facility		$325.63	$376.22	$390.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.51 / $178.21 / $268.17	Professional		$137.51	$178.21	$268.17
United Facility/Professional Professional Modifier Low / Median / High Price $119.67 / $184.92 / $361.44	Professional		$119.67	$184.92	$361.44